AMC 0493072

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1995-06-20 for AMC 0493072 manufactured by Gelm Sciences.

Event Text Entries

[15742882] Facility alleged leaking during treatment. Rn reports problem with overflow to transducer causing tmp alarm and clotted line. Ebl 30-50a.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2243621-1995-00525
MDR Report Key23210
Date Received1995-06-20
Date of Report1995-05-15
Date of Event1995-04-15
Date Facility Aware1995-05-15
Report Date1995-05-15
Date Reported to Mfgr1995-05-15
Date Added to Maude1995-07-05
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameAMC
Generic NameTRANSDUCER PROTECTOR
Product CodeFIB
Date Received1995-06-20
Catalog Number0493072
Lot NumberUNKNOWN
OperatorNO INFORMATION
Device AvailabilityN
Device Age*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key23480
ManufacturerGELM SCIENCES
Manufacturer Address600 S WAGEN RD ANN ARBOR MI 48106 US


Patients

Patient NumberTreatmentOutcomeDate
10 1995-06-20

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